trade application form

COMPANY DETAILS
COMPANY NAME
COMPANY NUMBER
REGISTERED ADDRESS LINE 1
ADDRESS LINE 2
POST CODE
CONTACT NUMBER
FAX NUMBER
EMAIL ADDRESS
INVOICE ADDRESS (IF DIFFERENT)
ACCOUNTS CONTACT NAME
HOW LONG TRADING?
BUSINESS SECTOR
TRADE SUPPLIER REFERENCE 1
NAME
ADDRESS LINE 1
ADDRESS LINE 2
POST CODE
CONTACT NUMBER
CONTACT NAME
TRADE SUPPLIER REFERENCE 2
NAME
ADDRESS LINE 1
ADDRESS LINE 2
POST CODE
CONTACT NUMBER
CONTACT NAME
NOTES
How did you hear about greenparcel?
I/We hereby apply for credit facilities with Stormus Ltd. and confirm that the information given on this form is true and complete.
I/We futher understand that the credit is only allowed subject to agreeing to Stormus Ltd's Terms and Conditions of trade.
NAME
POSITION
DATE